HomeMy WebLinkAboutMortgage_Floyd"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
+ FOR DEDUCTION FROM ASSESSED VALUATION
. . • Sfate Fortn G3709 (R71 / 6-09) (�
�' �.r � P�esaibed by �epartrteM a( Loml Goverturrenl Fnarre -
. F8e a
wsrnucnoNS: '
To be filed in person w by maif wiM Ne CountyAuditor or Counry Remder o/ the courtty wl�ere the property is located. � �
Fi7mg Dates: 1) Real Pmperry: Must file durirg the }rear /or which 7he deduclion is soughL Cou�ry Audimr
2) Mo6Ae / Manufactured Homes not assessed as Real Properly Mus! file dunng Me twelve (f 2) rtwnths ��f U� � L U I U-
befire Maich 37 0! each ysar the deducfion is saghG Counry Recordu
See reverse side f9c�ddilional instructFOns aM quelifications. —��� n
MOGwm (owner Duyei' re9ri�a�i4'' rav� sE$i / /' �""I�' '��/!''
�
n m, wnat Is les �
tl n8(f12 m IBC9fd
� F(e� rnmDer / legal d�
� �a,
� ,. a
�,WK
Vw
��—on°�.�3s aa.�
������,��, 51.�
Address d rtnrtgagee ar mntretl sr�er (numbri and street �, sbte, aM Z!P cro0e)
Name ot assicyiee w mha ovmer w hold� �
•"^'^T�3
AECresS of a55e,p�ee (n(tm6e� and Stree �// .� � ` `
v��. t�,� °°�� _ �_
Does applipnt own property in any o '•� / b kt7
munry in Indmna? •
❑ v� ar
�'\'pfJ.� . �.S � . —
Deauctionapprv.ed'v�theamountot "' /�/ J� f� ''.' —
� � � � �
I / We cer47y uru
owner I wntracl
Ek7
Recofd � Page
���� ����
Y� u No
I�C PfOpCIIY IIl QUGSti011: /VM113Pf i�'$ESSCQ
] Real PmPenY ❑ �^^�Y �
Has Nis tleduOion Eeen reVUesteO an P�nY
Por artent Ye�' r-i .. r-f
20 � 20
i� IL�, I.�...� �,�.n-►� I V.._,..__., _,�,.�.,I �� o
:nalty of pe ry Mat Ne above and foregaing mfwmalion is We and cortect and fhat the appiinnt is a resideni of IrWiana aM
Ne afyrementioned properry on date applicatlon is filed.
I Date (rtnrvh. daY. Y�A
Fbe�r�e�ess a c cnumae. a�e sr�c rny, naoa
a�e_ w �Tl,�� " �
Person autlmRetl Ey OWy �eaitetl Pox� ol Atluney w by IC 67.7-12 .7
Adtlress of auCmr'¢eC pr�son (num6erantl street, ary, sbte, an0 ZIP aode)
� // ��l—/
r� �D
Date,,rorth. tlay Y�)
.tl